Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $162.87 / $265.82	Facility		$9.80	$162.87	$265.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $56.75 / $64.95	Professional		$15.58	$56.75	$64.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.79 / $46.79 / $46.79	Facility		$46.79	$46.79	$46.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $19.41 / $24.26	Professional		$12.34	$19.41	$24.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $14.77 / $14.77	Facility		$14.77	$14.77	$14.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $16.94 / $67.76	Professional		$16.94	$16.94	$67.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.29 / $65.22 / $109.26	Facility		$59.29	$65.22	$109.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $38.11 / $38.11	Professional		$15.25	$38.11	$38.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $14.77 / $59.29	Facility		$14.77	$14.77	$59.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $16.94 / $21.90	Professional		$16.94	$16.94	$21.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $33.88 / $41.84	Professional		$10.65	$33.88	$41.84